# PREMISE HEALTH OF CALIFORNIA MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Occupational Health Services BI Fremont
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093311615
- **Authorized official:** DR. JON LEIZMAN MD (PRESIDENT)
- **Authorized official phone:** (216) 479-9063

## Contact information

- **Practice address:** 6701 KAISER DR, FREMONT, CA 94555-3659
- **Practice address phone:** (510) 284-6395
- **Practice address fax:** (510) 574-1980
- **Mailing address:** 5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/09/2020
- **Last updated:** 10/16/2025